John Gregory “Greg” Barnes—a former mortgage broker who, seeking a “recession proof” business model, purchased pain clinics throughout the Western District of Virginia (including in Lynchburg, Madison Heights, Christiansburg, and Woodlawn)—was sentenced to 45 months in federal prison for healthcare fraud and illegal prescription drug conspiracies Additionally, Barnes and L5 Medical Holdings, the business entity he controlled, jointly agreed to pay 4,888,426.11 in restitution to Medicare and Virginia Medicaid and to forfeit $250,000 to the United States. Barnes was the last defendant awaiting sentencing as part of Operation Mountain Highlands—an investigation that resulted in convictions and years of prison time for a half-dozen medical professionals and businesspeople associated with the L5 pain clinics. As part of their plea agreements, two doctors and a nurse also permanently surrendered their medical licenses, and Barnes and L5’s Chief Operating Officer, Jennifer Adams, agreed never to do business in the Western District of Virginia again.